Tawanna Cooper

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN535143 Issued in PA

Practice address

1981 N Woodstock St
Philadelphia, PA 19121-2118

Phone

(215) 235-5040

Fax

(215) 235-7947

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Philadelphia Health Management Corporation

  • Non-Surgical Family Planning Clinic/Center
  • Philadelphia, PA
  • NPI 1669526554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1760735773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191025021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N WOODSTOCK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191212118",
            "telephone_number": "215-235-5040",
            "fax_number": "215-235-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TAWANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN535143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Cooper, M.D.,MBA
• Octavia Cooper, BSN, RN
• Orrin Anton Cooper
• Patrick Bill Cooper, M.D.
• Robin Cooper, LCSW, M. ED.
• Taylor Alexandra Cooper
• Tazhe Cooper, M.ED
• Tonya Cooper, RD LDN
• Wesley Alfred Cooper II
• Benjamin A Cooperberg, MD

• Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.